Provider Demographics
NPI:1053831370
Name:CONTRERAS, LAURA B (DNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:B
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:203 NW R D MIZE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2546
Mailing Address - Country:US
Mailing Address - Phone:816-220-1117
Mailing Address - Fax:816-228-2053
Practice Address - Street 1:203 NW RD MIZE RD STE 200
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014
Practice Address - Country:US
Practice Address - Phone:816-220-1117
Practice Address - Fax:816-228-2053
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO155293163W00000X
MO2017030644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse